Individual
GENA COCHONOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10728 N MILAM LN, CASEY, IL 62420-3548
(217) 508-9911
Mailing address
10728 N MILAM LN, CASEY, IL 62420-3548
(217) 508-9911
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160001490
IL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/03/2008
Last updated
06/06/2023
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